MR. TYLER MARTIN MA, ATC, LAT
NPI 1043600919
Specialist/Technologist - Athletic Trainer in Kenosha, WI

Active since January 30, 2015
900 WOOD RD, KENOSHA, WI 53144(262) 595-2164(262) 595-2225 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tyler Martin Ma, Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYLER MARTIN MA, ATC, LAT (NPI 1043600919) is an individual athletic trainer provider in Kenosha, Wisconsin, licensed in Wisconsin (1310-39) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1043600919
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. TYLER MARTINCredential: MA, ATC, LAT
Location Address900 WOOD RDKenosha, WI 53144-1133
Mailing Address1296 Village Centre Dr, Unit 5Kenosha, WI 53144-7265 · (262) 515-1035 · Fax (262) 595-2225
Fax(262) 595-2225
Sole ProprietorNo
Enumeration DateJanuary 30, 2015
NPI 1043600919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in WI · 1310-39
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
900 WOOD RD, Kenosha, WI 53144

Other Identifiers 2

Other2000003066WI · Nataboc
Other1310-39WI · Department Of Safety And Professional Services

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
900 WOOD RD
KENOSHA, WI 53144
Specialist/Technologist (Athletic Trainer)
900 WOOD RD
KENOSHA, WI 53144
Specialist/Technologist (Athletic Trainer)
900 WOOD RD
KENOSHA, WI 53144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Martin's NPI number?

The NPI number for Tyler Martin is 1043600919. It was assigned to this individual provider in the NPPES registry on January 30, 2015.

Where is Tyler Martin located?

Tyler Martin practices at 900 Wood Rd, Kenosha, WI 53144. The listed phone number is (262) 595-2164.

What is Tyler Martin's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Tyler Martin was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.